Individual provider · Type 1 NPI

Blake Michael Burch I, DO

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1811646227 Active · reactivated Apr 18, 2022

Practice location

1959 NE Pacific St
Seattle, WA 98195-5156

Call (206) 598-2094 Map

Mailing address

1959 NE Pacific Street Box 357115
Seattle, WA 98195-7115

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X58876 (FL)
Student in an Organized Health Care Education/Training Program 390200000XOL61423697 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811646227

Blake Michael Burch I, DO's National Provider Identifier is 1811646227, issued on Mar 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Jun 8, 2023.